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Nancy L. Cantelmo, MD; J. Robert Snow, MD; James O. Menzoian, MD; Frank W. LoGerfo, MD

Arch Surg. 1986;121(2):217-220.

Abstract
• Patients presenting with an ischemic foot who have a palpable popliteal pulse have not always been considered to be suitable candidates for arterial reconstruction. Since 1976, 32 distal bypasses were performed in 30 such patients, 77% of whom were diabetic. Proximal anastomoses were from the distal superficial femoral or popliteal artery. Autologous vein was used in all cases. There were six graft failures, all of which occurred within eight months. Three failures, which all occurred within the first month, required below-the-knee amputation. Using life-table analysis, the one- and three-year patency rates were both 79%. One- and three-year limb-salvage rates were 89% and 82%, respectively. We conclude that the results of distal vein graft reconstruction originating from the superficial femoral or popliteal artery are comparable with those of any group of patients with arterial occlusive disease of a lower extremity.

(Arch Surg 1986;121:217-220)

Author Affiliations
From the Vascular Surgery Service, Department of Surgery, Boston University Medical Center.

Footnotes
Accepted for publication Aug 19, 1985.

Reprint requests to University Hospital, 75 E Newton St, D 521, Boston, MA 02118 (Dr Cantelmo).

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ABSTRACT